TDI-Division of Workers' Compensation Plan-Based Audit

All,

 On May 8, 2019, the Texas Department of Insurance, Division of Workers’ Compensation (DWC) solicited and received constructive input from workers’ compensation system participants on the proposed Physical Medicine and Rehabilitation Services Plan-Based Audit (Plan-Based Audit). DWC appreciates the input provided by system participants. All comments were carefully considered and discussed. The commissioner of workers’ compensation approved the Plan-Based Audit on May 29, 2019.  All medical quality reviews initiated on or after January 1, 2019, will follow the approved Medical Quality Review Process (Process) in effect. The Process and Plan-Based Audit are posted on the TDI website at:www.tdi.texas.gov/wc/hcprovider/medadvisor.html.  Please advise your members and staff. 

 If you have any questions regarding this memo, contact myself or Mary Landrum at 512-804-4814 and [email protected].

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